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27th Annual Trustee ConferenceGovernance for Health CareTransformationJuly 12-14, 2013

27th Annual Trustee ConferenceTransformationAs the environment of health care continues to change, trustees are facing an environmentthat has continued to be challenging and complex. Your role as a health care leaderdepends heavily on developing a shared vision with future direction and leadership for yourorganization. The driving forces from government, community, increased transparency andchanging policies shape what you do. How can the governance structure work with theseoutside forces and still allow you to serve the community to the best of your ability? Yourfuture vision for your community depends on your forward thinking.Our 27th Annual Summer Trustee Conference will provide you with the opportunity to focuson challenges facing trustees on issues of transformation, patient safety, legislation and thefuture of health care.“Minnesotahospital trustees who havenever attended an MHA TrusteeConference miss the opportunity toreview and expand their interests andunderstanding of what it is we do for ourhospitals and communities. We profit from ourservice only to the extent that we prepareourselves to do the job effectively andpassionately.”— past participant of MHA’s AnnualSummer Trustee ConferencePlease join us for this timely event designed specifically fortrustees. You won’t want to miss this opportunity to talkto your peers about similar issues and challenges,and discover options for gaining new knowledge andskills. Networking, education and idea exchange iswhat this conference is built on.“The information andideas generated at thisconference were very helpful.I left invigorated and excited toshare what I had learned.”— past participant of MHA’s AnnualSummer Trustee Conference

27th Annual Trustee ConferenceTransformationFriday, July 122 – 7 p.m. Registration — Upper Foyer2:30 – 3:20 p.m. General SessionMinnesota’s Health Insurance Exchange and Potential Impacts for ProvidersMatthew Anderson, JD, Vice President, Strategic and Regulatory Affairs, Minnesota Hospital Association, St. Paul, MNOne of the most significant changes in Minnesota’s health care landscape, the state-run health insurance exchange brandedas MNsure, will begin operations on October 1. This new marketplace for purchasing health coverage, combined with othersignificant changes to insurance laws and regulations, holds the potential to impose new pressures on health care providers.Signs of these new pressures are already being felt as health plans look to change their provider reimbursements andexpectations. This program will explain the key features of Minnesota’s health insurance exchange and how its implementationis predicted to affect hospitals and health systems in every corner of the state.Principles of Effective Governance3:30 – 4:30 p.m. General SessionRural Health Transformation and the Heart of New UlmToby Freier, President, New Ulm Medical Center, New Ulm, MNNew Ulm Medical Center has created a high performing rural health organization taking steps to proactively prepare forpayment reform and population health management. This session will highlight New Ulm’s physician integration strategy, useof health information technology, community engagement, and service line development through a regional health system. Youwill also learn about the benefits and challenges of developing and sustaining a rural population health initiative. The Heartof New Ulm initiative is a nationally-recognized population health initiative seeking to prevent the occurrence of heart attacks.Impressive outcomes include a reduction in community average BMI and statistically significant reductions in high bloodpressure, high cholesterol, high glucose levels, stress and smoking.Strategic Planning and Positioning4:40 – 5:40 p.m. General SessionWhat Keeps You Up at Night — Policies, Health Care Reform, Government Regulations?Frank Lawatsch, CEO, Swift County-Benson Hospital, Benson; John Strange, President & CEO,St. Luke’s Hospital, Duluth; Al Vogt, CEO, Cook Hospital & C&NC, Cook; Facilitator: Lawrence Massa, President &CEO, Minnesota Hospital Association, St. Paul, MNWith continued health care cuts, increased transparency, changes in state policies, and challenges to Minnesota health carefacilities, where are we headed? Health care facilities in Minnesota continue to try and balance government regulations withfacility needs and community demands. What is in store for health care in Minnesota and the community they serve? Thissession will provide some insight from area health care executives on their view of where health care in Minnesota is headedalong with their thoughts on what are some of the biggest challenges and issues that keep them awake at night.Strategic Planning and Positioning5:40 – 6:40 p.m. Dinner1

MHA’s 27th Annual Trustee Conference6:40 – 7:30 p.m. Trustee Certification Celebration and Evening KeynoteLiving an Ordinary Life in an Extraordinary WayLieutenant Colonel Mark Weber, Minnesota National Guard, Rosemount, MNLt. Col. Mark Weber, a highly decorated war hero, was diagnosed with terminal intestinal cancer in 2010 at the age of 38,and given four months to live. Knowing he wasn’t going to survive, Weber began writing a book for his sons entitled: “Tell MySons” — a transformation of a lifetime of journaling condensed into a legacy for his three teenage sons. Weber will share withyou his journey and what he’s learned about perseverance, fear, humor and personal courage. Join us for his message ofempowerment, encouragement and inspiration — to focus on what you have and what you can do with life when it doesn’t gothe way you want it to, and how to live an ordinary life in an extraordinary way.General7:30 p.m. Social Hour — Sponsored by CliftonLarsonAllenJoin your colleagues for a time of networking and refreshments in the Rafters Lounge before retiring for the evening.Saturday, July 136:45 – 7:45 a.m. Breakfast7:30 – 11:30 a.m. Registration — Upper Foyer8 – 9 a.m. General SessionBlue Ribbon Panel Report: Governance Practices in an Era of Health Care TransformationJohn R. Combes, MD, President/COO, Center for Healthcare Governance, and Senior Vice President, AmericanHospital Association, Chicago, ILHow are the transformational changes now confronting health care organizations affecting the way boards govern? Thisopening session will share the findings from interviews with board members, executives and clinical leaders, and analysis byan expert panel of how boards are evolving to guide their organizations through the profound changes now underway. Learnwhat the study identified as the most important contributions boards can make to help their organizations prepare for significantchanges, as well as the conversations boards have not yet had that would move their organization’s strategic plan forward.Board Development and Self Assessment9:15 – 10:25 a.m. Concurrent Sessions (choose one)#1 HIPAA in Our HITECH World … Are You Ready?Susan E. Ziel, Esq, Partner, Krieg DeVault LLP, St. Paul, MNAs a trustee, do you fully appreciate the new civil and criminal penalties that could result if your hospital was found responsiblefor an unauthorized use or disclosure of a patient’s individually identifiable health information in violation of the Health InsurancePortability and Accountability Act (HIPAA)? In fulfilling your trustee obligations, what do you “need to know” about your hospital’sown HIPAA compliance efforts? Do you know how to handle a random request for information — whether from a neighbor, a newsreporter or even an investigator regarding one of your hospital’s current or past patients? You won’t want to miss this informativesession which will enhance your understanding of HIPAA in our HITECH world and your effectiveness as a trustee.Principles of Effective Governance#2 Trustee’s Role and Responsibility as a Driver of Patient Safety and QualityJeff Lyon, MD, Quality Medical Director, Essentia Health-St. Mary’s Medical Center, Duluth, MNThis session is designed to help trustees understand how and why errors in health care occur and steps that can be takento prevent them from happening. This session will also help trustees understand their pivotal role and key responsibilities inadvancing progress toward achieving organizational goals for patient safety and quality.Quality and Patient Safety2

Transformation#3 Governance Guidelines for High Value CEO Performance and Compensation Evaluation —For Trustees OnlyLarry Walker, President, The Walker Company, Lake Oswego, OREnsuring clear CEO performance expectations and accountabilities that are appropriately evaluated and rewarded is anessential core governance responsibility. Carrying out this responsibility in a way that both satisfies legal requirements andbuilds a strong, trust-based board and CEO relationship requires the board to have concise, mutually-agreed upon policiesand procedures for evaluating the CEO’s performance in achieving the mission, vision and board-approved objectives, andmethods for determining compensation that appropriately rewards the performance expected by the board. This program willprovide attendees with guidelines for carrying out an evidence-based CEO performance and compensation review process.Principles of Effective Governance#4 Critical Skills in Financial Statement Analysis for Better Board GovernanceKorey Boelter, Partner; Matt Borchardt, Manager, CliftonLarsonAllen, LLP, Minneapolis, MNThis presentation is designed for trustees with a non-financial background who want to learn more about understanding thebasis of their organization’s financial statement, or those with a financial background who need background on understandinga health care financial statement. In the session, you will be provided with an in-depth review of understanding financialstatements and also a review of critical ratios and how to calculate and compare to benchmarks. Emphasis will also beprovided to gain an understanding of positive and negative trends and their potential impact on future financial statements.With this insight, trustees will be able to make judgments about the financial performance and financial well-being of theirrespective organizations.Fiduciary Duties10:25 – 10:50 a.m. Break10:50 – 11:55 a.m. Concurrent Sessions (choose one)#5 Making a Difference for Patients: The Governance RoleJohn R. Combes, MD, President/COO, Center for Healthcare Governance, and Senior VP, American HospitalAssociation, Chicago, ILThe governing board of any health care organization has the moral, legal and fiduciary responsibility to monitor, evaluate, andcontinuously improve the quality and safety of care provided. The board must carry out its oversight role effectively — qualityoversight cannot be delegated. While Minnesota is often a leader in patient safety and quality, trustees must ensure that yourfacility remains a safe place to receive care and that patients receive exceptional care every time. Combes will provide somehighlights of quality initiatives around the country and how you can provide the safest environment for your community.Quality and Patient Safety#6 Transitioning from Operating to Advisory GovernanceLarry Walker, President, The Walker Company, Lake Oswego, ORAs the health care delivery system takes on a new shape, health care organizations will need to evaluate their organizationalstructures, care delivery roles, and opportunities to affiliate with others in order to best achieve their mission and vision andensure an ongoing capacity to successfully meet community needs well into the future. As a result, governance structuresare also adapting and transforming, with many organizations shifting governance responsibilities to a different, but still vitaladvisory role. This program will explore the fundamental differences in roles between operating and advisory boards, andhighlight ways to ensure that advisory governance is meaningful and valuable to organizational thinking and responsiveness tothe challenges ahead.Board Development and Self Assessment#7 Trustee Liability — This May Get PersonalRobert A. Wade, Esq, Partner, Krieg DeVault LLP, St. Paul, MNHealth care is one of the most regulated industries in the country. Trustees for health care providers are charged with insuringthat their organization complies with all of the statutes, rules and regulations issued by the government, some of which posecriminal penalties for violations. Some normal business activities, such as providing referral sources with gifts of gratitude, areprohibited in health care. Trustees who are not regularly involved in the health care industry may not have a full appreciation for3

MHA’s 27th Annual Trustee Conferencetheir personal liability for trustees, including exposure under the Anti-Kickback Statute, Stark Law, and False Claims Act. Wade,previously general counsel for a hospital system, will describe, in practical terms, these potential sources of liability and howtrustees must be strategic in minimizing these risk areas. Both for themselves individually and on behalf of their own healthcare organizations.Principles of Effective Governance#8 Principles of Health Care Payment Programs: What Trustees Should KnowDarryn McGarvey, Partner; Matt Borchardt, Manager, CliftonLarsonAllen, LLP, Minneapolis, MNBoard members provide an important role in the financial oversight and protection of an organization’s assets which includepayments from third-party payers. This presentation will provide you with a general overview of third party payment systems tohospitals and health care providers. You will gain an understanding of the key provisions of the Affordable Care Act and otherpayment reform activities that will have future impacts on third party reimbursement modes.Fiduciary Duties11:55 a.m. –12:30 p.m. Lunch12:30 – 1:15 p.m. Closing SessionCuriosity: The Great TruthKenneth Speake, former KARE 11 Storyteller, Minneapolis, MNKen Speake made a career of telling stories as a television journalist. He is an acknowledged master of the craft. For 27years he followed his own natural curiosity to shine the light on good stories made great by his artful telling, defined by whatone competitor described as his “earnest gentleness.” Join us for our closing session to hear Speak share his approach tostorytelling and talk about some of the memorable stories he carries with him.General2 – 5 p.m. Leisure Time – Golf – Pontoon Rides6 p.m. Dinner6:45 p.m. Entertainment – Matt JerniganAn amazing comedy impressionist, Matt hilariously spoofs popular rock, R&B, hip hop, country and pop stars. With just hisguitar and incredible talent, he brings everyone from Elvis Presley to Snoop Dogg to the stage.Sunday, July 148:30 – 10:30 a.m. Networking BreakfastPlan on joining your peers for breakfast and a time of sharing ideas, inspirations and concerns.11:30 a.m. Check-out Time4

TransformationArrowwood Resort and Conference CenterDirections to Arrowwood Resort& Conference CenterFrom Minneapolis Area/Minneapolis-St. Paul International AirportI-494 West to I-94 West. Follow I-94 to the Alexandria Exit, Exit #103. Right atAlexandria Exit, Highway 29. Proceed north on 29, through town, to 82. Note: 82 ismarked by a large Viking Statue. Left on 82 (at statue) to 22. Note: 22 is marked byan oil tank farm; 22 proceeds between the rows of tanks. Right on 22. Follow 22 toArrowwood Drive. Right on Arrowwood Drive.Alternate Directions from Minneapolis Area.(This is a faster route to the Resort, as it avoids the town of Alexandria.)I-494 West to I-94 West Follow I-94 to Exit #100, 2miles past Alexandria Exit. Proceed on CountyRoad 45, straight ahead at exit. Follow 45approximately 3 miles to 82. Right on82 approximately .5 miles to 22. Note:22 is marked by an oil tank farm; 22runs through the rows of tanks. Lefton 22. Follow 22 to ArrowwoodDrive. Right on Arrowwood Drive.“MHA does an outstandingjob of recruiting interestingspeakers, getting a variety of topicsfor the breakout sessions, etc. They aretruly invaluable in helping us serve astrustees in the hospital entity.”— Bev Bales, trustee, DouglasCounty Hospital, Alexandria5

MHA’s 27th Annual Trustee ConferenceStrengthening Trustee LeadershipThrough CertificationMHA has developed a special, voluntary board certification designed tomake a good board member great and a committed board member anex-ceptional asset. This certification is a process of verifying an individualtrustee’s initiatives to improve personal health care knowledge, leadershipeffectiveness and compliance with a variety of governance best practices.Certification is a viable way of assuring various stakeholders that Minnesota’shospitals hold themselves to high standards and are accountablefor their governing performance.Benefits From Certification• Hospitals will benefit by having board members that areknowledgeable and educated on the latest governance standardswhile being ambassadors for your facility and to the community.• Trustees will benefit by gaining leadership effectiveness, complianceof best practices, and an overall confidence in understanding theimportance of hospital governance.Minnesota hospital trustees gather after receiving their certifications. They are, fromleft: Don Potter, Wayne Hubin, Katherine Hemmelgarn, James Fuhrmann, Lana E.Hansen, Eric E. Weiberg, James Hofer, Robert Jensen, Lorry Massa, MHA.For more information about the certification process and to enroll in the program, visit MHA’s website at http://www.mnhospitals.org/trustees and thenclick “Board Education Certification” on the left side.Recently Certified TrusteesCurrently more than 350 Minnesota hospital board members are actively working toward certification. The following board members were recognized forcompleting the certification process at MHA’s 2013 January Trustee Conference:• Robert A. Cooper, District One Hospital, Faribault• James Fuhrmann, Avera Marshall Regional Medical Center• Kim Halvorson, District One Hospital, Faribault• Lana Hansen, Lakewood Health System, Staples• Katherine Hemmelgarn, Perham Health• James Hofer, Lakewood Health System, Staples• Wayne Hubin, Ridgeview Medical Center, Waconia• Robert Jensen, FirstLight Health System, Mora• Don Potter, Cook Hospital & C&NC• Eric Weiberg, Rice Memorial Hospital, Willmar2013 Trustee Council• Larry Anderson, Chair, Trustee, United Hospital District,Blue Earth• Karen Ahmann, Trustee, Mahnomen Health Center• Richard H. Berge, Trustee, District One Hospital, Faribault• Debra Boardman, President & Chief Executive Officer, RangeRegional Health Services, Hibbing• Jon Braband, President & Chief Executive Officer, GlencoeRegional Health Services• Diane S. Cross, Trustee, University of Minnesota Medical Center,Fairview, Minneapolis• Ty Erickson, Chief Executive Officer, Regina Medical Center,Hastings• Robert Jensen, Trustee, FirstLight Health System, Mora• Mary Klimp, Administrator, Mayo Clinic Health System in NewPrague• Chuck Koenigs, Trustee Chair, Swift County-Benson Hospital• Norma Krumwiede, Trustee, Madelia Community Hospital• Jerry Kunza, Trustee, Perham Health• Dian Lopez, Trustee, Douglas County Hospital, Alexandria• Loren Morey, Board Chair, Lakewood Health System, Staples• James Morris, Board Member – Foundation, Mayo Clinic HealthSystem in New Prague• Barbara Muesing, Trustee, Essentia Health, Fosston• Kay Olson, Trustee, Cook County North Shore Hospital, GrandMarais• Clayton Peterson, Board Member, St. Joseph’s Area HealthServices, Inc., Park Rapids• Todd Sandberg, CEO/Administrator, Sibley Medical Center,Arlington• Al Vogt, Chief Executive Officer Cook Hospital & C&NCasual dress is strongly encouraged for the conference.6

TransformationAudienceThe conference is open to all trustees, administrators, physicians and health care leaders.CertificationBoard members participating in MHA’s Board Certification program can earn credits toward certification.Component area of credit is highlighted under each session description. The content of this conference isbeing reviewed by the Minnesota Board of Examiners for Nursing Home Administrators for clock hours. Thequantitative value assigned will be indicated on the certificate of attendance awarded to participants who attendall sessions. To check on final hours awarded, please contact the education division at MHA.“MHA isdiligent in their effort tomeet the interestsand concern of all urban andrural facilities.”— past participant of MHA’sAnnual Summer TrusteeConferenceAccommodationsThe Trustee Conference will be held at Arrowwood Resort and Conference Center in Alexandria, MN. Conference participants are to register directly withArrowwood for their accommodations. Registration materials are included in this brochure. Please remember that the registration deadline for Arrowwoodis June 21, 2013.Fees and Conference Registration$299 per person for any health care facility in Minnesota, $375 for MHA associate members and $399 for non-members. All registrations should becoordinated through the facility the participant serves. The cancellation date for registration is July 5, 2013.The registration fee includes sessions, program materials and breaks. Registration is personal and made for the entire conference period. Registrationfees, less a $25 cancellation fee are refundable if notice is received five working days prior to the program dates. If you cannot attend, you may chooseto send someone in your place. No shows will be billed.If you have special health, mobility or dietary needs, call the education division at MHA.For Further Information ContactMinnesota Hospital AssociationTwin Cities Calls: (651) 641-1121Greater MN Calls: (800) 462-5393Fax: (651) 659-1477www.mnhospitals.org7

July 12-14, 2013 | Arrowwood Resort and Conference CenterTransformationNameTitleSpouse/GuestFacilityAddressCity/State/ZipPhoneFaxEmail AddressPlease check all that apply: Trustee Board Chair Administrator/CEO Physician OtherIs this your first Trustee Conference? Yes NoConcurrent Session SelectionIndicate which concurrent sessions you will be attending by checking only one concurrent program per time slot.You will be automatically registered for all general sessions.Saturday, July 13, 9:15 – 10:25 a.m. (Select only one program in this slot)#1 HIPAA in Our HITECH World ... Are You Ready?#2 Trustee’s Role and Responsibility as a Driver of Patient Safetyand Quality#3 Governance Guidelines for Hight Value CEO PerformanceCompensation Evaluation — For Trustees Only#4 Critical Skills in Financial Statement Analysis for Better BoardGovernanceSaturday, July 13, 10:50 – 11:55 a.m. (Select only one program in this slot)#5 Making a Difference for Patients: The Governance Role #7 Trustee Liability — This May Get Personal#6 Transitioning from Operating to Advisory Governance#8 Principles of Health Care Payment Programs: What TrusteesShould KnowMethod of PaymentEnclosed is a check made payable to Minnesota Hospital AssociationCharge to Mastercard Charge to Visa Charge to American ExpressCard NumberCardholder’s NameSend form and payment to:Minnesota Hospital Association2550 University Ave. W., Ste. 350-SSt. Paul, MN 55114-1900Phone (651) 641-1121 or (800) 462-5393; Fax (651) 659-1477www.mnhospitals.orgExpiration DateAdditional Guests (please only list those guests for whom you’veordered meal packages):#7443/299/375/399

July 12-14, 2013Minnesota Hospital AssociationCONFERENCE PACKAGESPACKAGE RATES ARE PER PERSON• Two Nights/Five Meals (Dinner Friday - Breakfast Sunday)• One Night/Three Meals (Dinner Friday - Lunch Saturday)• Golf Package included —(Two Night Packages Given Preference)• Package prices lnclude a 19.5 percent service charge and 6.875percent Minnesota state tax.• If you are attending with a guest, select Single Occupancy andpurchase additional meal tickets for your guest under Guest MealRates.HOTELDAY VISITORSI would like to reserve dinner at the rate of $35.52 per day:Friday (FrD)Saturday (SaD)I would like to reserve breakfast at the rate of $13.21 per day:Saturday (SaB)Sunday (SuB)I would like to reserve lunch at the rate of $18.29 per day:Saturday (SaL)Full package including all meals listed above: $110.75SUITESTWO NIGHTS ONE NIGHT TWO NIGHTS ONE NIGHT$505.27 Single $264.78 Single $686.96 Single $355.63 Single$344.96 Double $184.63 Double $435.80 Double $230.05 DoubleTOWNHOMESTWO NIGHTSONE NIGHT$1,454.21 Single $739.25 Single$1,203.05 Double $613.67 DoubleAll package prices are per person and inclusive of service chargesand state tax.No refunds will be given on packages or banquet tickets.GUEST MEAL RATESMeals are included for conference participants with hotel packages, but may be purchased separately for guests. Please lists name(s) of any guestsfor whom you will be purchasing meal tickets. See above rates for meals under day visitors.NameFrD SaB SaL SaD SuB Full packageChildren and their age: (Children 0 – 3 free of charge; 4 – 12, breakfast $8.30, lunch $9.26, dinner $11.81, full package $49.49; 13 and over full price).Name and AgeName and AgeFrD SaB SaL SaD SuB Full packageFrD SaB SaL SaD SuB Full packageMETHOD OF ADVANCE PAYMENTNameCheck (payable to Arrowwood — send with form)Address Purchase Order Credit CardCity, State, ZipDaytime PhoneArrival Date to Departure Date # NightsSmoking/Non-Smoking RequestsQuestions? Call (320) 762-1124 • Fax: (320) 762-0133Reservations Toll-Free (866) 386-5263CHECK-IN TIME IS AFTER 4 PMADVANCE PAYMENT DEADLINE JUNE 21, 2013.$100 per person advanced payment required.No reservations made without form.Card TypeCard NumberExpiration DateCardholder’s NameUpon making the reservation, the individual’s credit card will be charged a $100.00advance payment fee per room reserved. If the reservation is cancelled 31 days ormore prior to the arrival date, the advance payment will be refunded less a $25.00processing fee. If the reservation is cancelled within 4-30 days of the arrival date, the$100.00 advance payment will be forfeited. If the reservation is cancelled within 72hours of your stay you will be charged for the entire packages reserved on this form.Mail this form to: Arrowwood Resort, 2100 Arrowwood Lane, Alexandria, MN 56308. Fax with credit card info to: (320) 762-0133.

2550 University Ave. W., Ste. 350-SSt. Paul, MN 55114-1900www.mnhospitals.orgPRSTFirst-Class MailU.S. Postage PaidTwin Cities, MNPermit #29309